A Five-Year Review of Ectopic Pregnancy in a Tertiary Health Care Centre in Niger Delta Region of Nigeria

IntroductionBackground: Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality in sub-sahara Africa, with a rising trend in recent times.Method: A 5-year retrospective study of ectopic pregnancies at the Delta State University Teaching Hospital, Oghara, Nigeria. Data were retrieved from the case files and operation notes of the patients and analyzed for age, parity, marital status, risk factors, clinical presentation, mode of management and associated morbidity and mortality.Results: There were 113 cases of ectopic pregnancies during the study period, 1st January 2020 and 31st December 2025 in DELSUTH. Of these, 100 case notes were found and this formed the bases of further analysis. There were 2,875 in-patient gynaecological admission giving an incidence of 3.5%. Most of the patients (80%) were multiparous. The major identified predisposing factor was history of pelvic inflammatory disease 47.0%. Majority of the ectopic gestations (83%) were located at the ampullary region. The commonest postoperative complication was hypovoleamic shock.Conclusion: Ectopic pregnancy is still a significant contributor to morbidity and mortality amongst women of childbearing age in our community and its incidence is rising.